Individual provider Active NPI

Courtney Kotenko Richey, LLPC

  • Counselor
  • Clinton TWP, MI
National Provider Identifier
1669034971
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401017618 Issued in MI
Practice address
35455 Garfield Rd
Clinton TWP, MI 48035-2236
Phone
(586) 792-5335
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401017618 MI Primary

Addresses

Primary practice location

35455 Garfield Rd
Clinton TWP, MI 48035-2236

Mailing address

8167 Bellarine Dr
Shelby Township, MI 48316-3607
Phone (586) 484-8246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250414001298 MI Practitioner - Mental Health Counselor 6103340922 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401017618MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Counseling Services LLC CurrentSince Mar 30, 2025 Accepting new patients
Michael S Salter DPM PC CurrentSince Mar 30, 2025 Accepting new patients

Locations

1460 Walton Blvd
Ste 60
Rochester Hills, MI 48309
Phone (248) 651-0653

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1669034971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8167 BELLARINE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163607",
            "telephone_number": "586-484-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35455 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352236",
            "telephone_number": "586-792-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHEY",
        "first_name": "COURTNEY",
        "middle_name": "KOTENKO",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.